| NPI | 1740509488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 46729) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY R2573) |
| 207Q00000X Family Medicine (Licence: KY R2573) | |
| 208D00000X General Practice (Licence: KY R2573) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2023-07-10 |